LISA BENNETT (MD) – Ophthalmology Physician, NPI 1619354743

LISA BENNETT (MD) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 70489 (WI). The NPI Number for LISA BENNETT (MD) is 1619354743

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
LISA BENNETT (MD)
NPI
1619354743
Phone
(414) 272-8950
Address
788 N JEFFERSON ST STE 300
Enumeration Date
27 April 2015
Last Update Date
7 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2622411919
Graduation Year
2015 (11 years ago)
PAC ID
3375846652
Group Practice PAC ID
5991606337
Professional Enrollment ID
I20190819002200
Address ID
WI530925767ME10320RDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

388 OPHTHALMOLOGY in WI

Provider Addresses for LISA BENNETT (MD)

  • 788 N JEFFERSON ST STE 300

    MILWAUKEE, WI 532023710

    Phone: (414) 272-8950

    Fax: (414) 274-6250

    Type: Mailing

  • 10320 N PORT WASHINGTON RD

    MEQUON, WI 530925767

    Phone: (262) 241-1919

    Fax: (262) 241-9046

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $2,750.

Total Amount is formed as General ($2,750) + Research ($0) + Ownership ($0) = $2,750.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Glaukos Corporation ($865).

Total Amount

$2,750

General + Research + Ownership

Payments

46

Total payment records

General Amount

$2,750

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-08-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190819002200IOphthalmologyWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes643489$0
92133Imaging of optic nerve214205$0
92136Measurement of corneal curvature and depth of eye212133$0
92134Imaging of retina188169$0
66984Removal of cataract with insertion of prosthetic lens186104$0
View full utilization report →

Insurance plans in this area (ZIP 53202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991606337View full group profile
NameSpecialtyState
-WI
D E R M A T O L O G YWI
Internal MedicineWI
Internal MedicineWI
Nurse PractitionerWI
O P H T H A L M O L O G YWI
-WI
Physician AssistantWI
-WI
D E R M A T O L O G YWI

Reviews

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Frequently asked questions

Can I cross-check LISA BENNETT (MD) using NPI 1619354743?
NPI 1619354743 belongs to LISA BENNETT (MD); compare other details if you need extra assurance.
Is there an active status for LISA BENNETT (MD)?
For scheduling context, LISA BENNETT (MD) is shown as active in the registry.
What expertise is attributed to LISA BENNETT (MD)?
LISA BENNETT (MD)'s specialty line reads Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with LISA BENNETT (MD)?
Directory geography for LISA BENNETT (MD) centers on Milwaukee, Wisconsin.
Can I trust this NPI listing for LISA BENNETT (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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